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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406204107
Report Date: 08/23/2021
Date Signed: 08/23/2021 03:15:25 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:DANDY LION MONTESSORI SCHOOLFACILITY NUMBER:
406204107
ADMINISTRATOR:ANN BALASURIYAFACILITY TYPE:
850
ADDRESS:1089 BADEN AVE.TELEPHONE:
(805) 481-1735
CITY:GROVER BEACHSTATE: CAZIP CODE:
93433
CAPACITY:50CENSUS: 17DATE:
08/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Ann BalasuriyaTIME COMPLETED:
11:30 AM
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On 8/23/21, at 9:30 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). The LPA met with Ann Balasuriya, Director of the CCC and explained the purpose of the inspection. The LPA, in the company of Director, toured the interior and exterior of the CCC. The CCC operates from 7:30 AM to 5:30 PM, Monday - Friday and uses two classrooms (Sunshine Room and Rainbow Room) for child care. LPA observed 17 children on site during the inspection, along with 3 teachers (cleared and associated).

The classrooms of the CCC are clean and organized. The classrooms have age appropriate toys and furnishings available for children in care. The CCC has an operable carbon monoxide detector in each classroom which was tested (10: 25 AM). The bathroom in the CCC is observed in safe and sanitary operating condition. The CCC has operable refrigerator on site and the CCC provides morning and afternoon snacks for children in care, while children bring lunches from their homes. Disinfectants and cleaning solutions are stored on elevated shelves in the Sunshine Room's supply closet which are beyond the reach and inaccessible to children in care. Likewise, LPA also observed Cleaning supplies a secured hall closet. Sharps in the classrooms are observed on elevated shelves, beyond the reach of children in care in each classroom. Director informed LPA no medication is on site, but when medication is present it is stored in the CCC's office which is an area which excluded from care.

The CCC's outdoor playground area is enclosed by wooden fencing. The playground fences' entry/exit gate is observed secured. LPA observed age appropriate toys and play equipment in the playground area. The toys and play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground areas have adequate cushioning materials to absorb falls in the form of sand and an abundance of shade created by trees and shade covers. No bodies of water are observed on site. There is available drinking water for children both inside the classroom and outside in the play area. Waste receptacles with tight fitting covers are observed throughout the center.


(CONT. 809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: DANDY LION MONTESSORI SCHOOL
FACILITY NUMBER: 406204107
VISIT DATE: 08/23/2021
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LPA observed licensing required notices and documents posted predominately on wall near the CCC's entry. A posted menu is also observed by LPA at the entry. LPA observed Sign In/Out forms upon arrival at the CCC and found the forms to be completed appropriately.


A sampling of staff and children's records are reviewed. The children’s records were complete and found to contain emergency contact information as well as medical assessments. Staff records reviewed contained current pediatric First Aid/CPR certifications as well as current certifications for Mandated Reporter. Director informed LPA no firearm or ammunition is stored on the premises.

This facility does not provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed COVID 19 guidance and best practices with the Director. Director is reminded that it is Director's responsibility to know the regulations for a CCC which can be accessed on-line at www.ccld.ca.gov.


In areas evaluated, there were no deficiencies cited at this time.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
LIC809 (FAS) - (06/04)
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